Title Page
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Document No.
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Client / Site
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Conducted on
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Person conducting audit
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Name of person completing audit
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Property Location
Power Pole Identified
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Pole Identified
Pole Details
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Material
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Pole ID Number
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Location details
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Actual GPS Coordinates
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Add Photo of Pole ID Number
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Condition of Pole<br>- take a more detailed photo of the defect if replacement is required
Approval
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Signature of auditor